Miki O, Kitagawa T, Yoshizumi M, Masuda Y, Fukumura Y, Katoh I
Department of Cardiovascular Surgery, University of Tokushima, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1992 Dec;40(12):2212-6.
Lucas-Schmidt IIA type of Cor triatriatum has been rarely reported. Since it shows the same hemodynamics as Darling IIb type TAPVC, it is important as a emergent surgical case in early infancy. We reported a male neonate with IIA type Cor triatriatum. He was admitted to our hospital because of cyanosis and dyspnea since birth. The echocardiographic examinations revealed the accessory chamber behind the left atrium and atrial septal defect. The view from the right atrium revealed that there was no direct connection between the accessory chamber and the true left atrium, and we diagnosed it Lucas IIA type Cor triatriatum. The abnormal diaphragma was resected, and the atrial septum was corrected with a Xenomedica patch. The patient had an uneventful postoperative course, and was discharged on the 25th postoperative day.
卢卡斯 - 施密特IIA型三房心鲜有报道。由于其血流动力学表现与达林IIb型完全性肺静脉异位连接相同，作为早期婴儿期的紧急手术病例很重要。我们报告了一名患有IIA型三房心的男性新生儿。他自出生以来因青紫和呼吸困难入院。超声心动图检查显示左心房后方有副房及房间隔缺损。从右心房观察发现副房与真正的左心房之间无直接连接，我们诊断为卢卡斯IIA型三房心。切除异常隔膜，并用Xenomedica补片修补房间隔。患者术后恢复顺利，术后第25天出院。
